NPIMap

Individual provider Active NPI

Sathyamurthy Viswanath, MD

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1861467581
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200600580 Issued in NC
Practice address
1843 Quiet Cove
Fayetteville, NC 28304-3857
Phone
(910) 483-8080
Fax
(910) 483-3258
NPI assigned
Feb 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD426836 PA
Internal Medicine Physician 207R00000X 200600580 NC Primary

Addresses

Primary practice location

1843 Quiet Cove
Fayetteville, NC 28304-3857

Mailing address

1843 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 483-8080

Other identifiers 1

IdentifierTypeStateIssuer
142M4OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000536 NC Practitioner - Internal Medicine 6406883065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Village Internal Medicine, PAGroup PAC ID 4880785823, 5 clinicians

Practice addresses (Care Compare)

1843 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 483-8080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200600580NCMDInternal Medicine Physician
MD426836PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Internal Medicine, PA Internal Medicine CurrentSince Apr 2, 2007 Accepting new patients

Locations

1843 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

Interoperability endpoints

  • Direct secure messaging: sathyamurthyviswanath@vim.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861467581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043857",
            "telephone_number": "910-483-8080",
            "fax_number": "910-483-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 QUIET COVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043857",
            "telephone_number": "910-483-8080",
            "fax_number": "910-483-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATH",
        "first_name": "SATHYAMURTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD426836",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200600580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "142M4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.